Restore Counseling Services Llc | |
5309 Commonwealth Centre Pkwy Midlothian VA 23112-2633 | |
(703) 547-1944 | |
(703) 547-1943 |
Full Name | Restore Counseling Services Llc |
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Speciality | Counselor |
Location | 5309 Commonwealth Centre Pkwy, Midlothian, Virginia |
Authorized Official Name and Position | Valerie Sue Mohrman (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 7035471944 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Restore Counseling Services Llc 12804 Troon Bay Drive Midlothian VA 23114 Ph: (804) 396-9752 | Restore Counseling Services Llc 5309 Commonwealth Centre Pkwy Midlothian VA 23112-2633 Ph: (703) 547-1944 |
NPI Number | 1538905179 |
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Provider Enumeration Date | 07/03/2024 |
Last Update Date | 02/13/2025 |
Certification Date | 02/13/2025 |
Medicare PECOS PAC ID | 5496289613 |
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Medicare Enrollment ID | O20241111003608 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538905179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Valerie S Mohrman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700457082 PECOS PAC ID: 5395128318 Enrollment ID: I20220823003899 |
Provider Name | Brenda Gardner |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1053083246 PECOS PAC ID: 1254784010 Enrollment ID: I20240129000137 |
Provider Name | Naharia Heard |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1386009868 PECOS PAC ID: 1658716790 Enrollment ID: I20240229000037 |
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